N.M. Stat. § 27-2-12.25
Prior authorization for gynecological or obstetrical
ultrasounds prohibited.
A. The department shall prohibit its medicaid managed care and fee-for-service
contractors from requiring prior authorization for gynecological or obstetrical
ultrasounds.
B. Nothing in this section shall be construed to require payment for a gynecological
or obstetrical ultrasound that is not:
(1)
medically necessary; or
(2)
a covered benefit.
C. As used in this section, "prior authorization" means advance approval that is
required as a condition precedent to payment for medical care or related benefits
rendered to a covered person, including prospective or utilization review conducted prior
to the provision of covered medical care or related benefits.